ArticleJournal of clinical hypertension (Greenwich, Conn.)2018
The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Adherence to antihypertensives in the United States: A comparative meta-analysis of 23 million patients.Journal of clinical hypertension (Greenwich, Conn.) · 2024Pooled it
- Healthcare Professionals' Perspectives on Addressing Patients' Medication Adherence in Primary Care Settings.Journal of evaluation in clinical practice · 2025Trial
- Use of coaching and technology to improve blood pressure control in Black women with hypertension: Pilot randomized controlled trial study.Journal of clinical hypertension (Greenwich, Conn.) · 2023Trial
- Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial.BMJ quality & safety · 2022Trial
- The Impacts of a Primary Care-Based Dietitian Health Coaching Intervention on Patients' Health: An Observational Study.American journal of lifestyle medicine · 2026Article
- Outcomes of Team-Based Digital Monitoring of Patients With Multiple Chronic Conditions: Semiparametric Event Study.JMIR cardio · 2025Article
- Machine learning based prediction of medication adherence in heart failure using large electronic health record cohort with linkages to pharmacy-fill and neighborhood-level data.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- A Cross-Sectional Study on the Impact of Nurse-Led Health Coaching on Oncology Patient Outcomes.Journal of multidisciplinary healthcare · 2025Article
- Exploring various models of health coaching for improving blood pressure control among patients with hypertension attending primary health care settings: A scoping review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025Review
- Evaluating A Multicomponent Chronic Disease Management Pilot Intervention among Korean Patients with Hypertension and Diabetes.Iranian journal of public health · 2024Article
- Review
- Article
- Article
- Leveraging Electronic Health Record Technology and Team Care to Address Medication Adherence: Protocol for a Cluster Randomized Controlled Trial.JMIR research protocols · 2023Article
- Meeting the Needs of Rural Veterans: A Qualitative Evaluation of Whole Health Coaches' Expanded Services and Support during COVID-19.International journal of environmental research and public health · 2022Article
- Efficacy of a Culturally and Linguistically Competent Community Health Coach Intervention for Chinese with Hypertension.Asian/Pacific Island nursing journal · 2020Article
- Association Between Medication Literacy and Medication Adherence Among Patients With Hypertension.Frontiers in pharmacology · 2019Article
- The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Health and Wellness Coaching and Sustained Gains: A Rapid Systematic Review.American journal of lifestyle medicineReview
- Health coaching for hypertension control in primary care patients with uncontrolled hypertension in Egypt.Journal of family & community medicineArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Low adherence to anti-hypertensive medications contributes to worse outcomes. The authors conducted a secondary data analysis to examine the effects of a health-coaching intervention on medication adherence and blood pressure (BP), and to explore whether changes in medication adherence over time were associated with changes in BP longitudinally in 477 patients with hypertension. Data regarding medication adherence and BP were collected at baseline, 6, 12, 18, and 24 months. The intervention resulted in increases in medication adherence (5.75→5.94, P = .04) and decreases in diastolic BP (81.6→76.1 mm Hg, P < .001) over time. The changes in medication adherence were associated with reductions in diastolic BP longitudinally (P = .047). Patients with low medication adherence at baseline had significantly greater improvement in medication adherence and BP over time than those with high medication adherence. The intervention demonstrated improvements in medication adherence and diastolic BP and offers promise as a clinically applicable intervention in rural primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.